How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $338.84 Median $512.86 Typical High $741.31 | Facility | None | $338.84 | $512.86 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $467.74 | Professional | None | $295.12 | $346.74 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $1,862.09 | Facility | None | $398.11 | $398.11 | $1,862.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $380.19 Typical High $758.58 | Professional | None | $338.84 | $380.19 | $758.58 |
BCBS Kansas City Setting Facility Modifier None Typical Low $758.58 Median $794.33 Typical High $1,479.11 | Facility | None | $758.58 | $794.33 | $1,479.11 |
BCBS Kansas City Setting Professional Modifier None Typical Low $281.84 Median $549.54 Typical High $933.25 | Professional | None | $281.84 | $549.54 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $891.25 Typical High $2,290.87 | Facility | None | $380.19 | $891.25 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $457.09 Typical High $691.83 | Professional | None | $190.55 | $457.09 | $691.83 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $691.83 Typical High $1,905.46 | Facility | None | $363.08 | $691.83 | $1,905.46 |
Medica Setting Professional Modifier None Typical Low $199.53 Median $446.68 Typical High $1,995.26 | Professional | None | $199.53 | $446.68 | $1,995.26 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
United Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $537.03 | Professional | None | $169.82 | $239.88 | $537.03 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $173.78 Typical High $229.09 | Professional | 52 · Reduced service | $169.82 | $173.78 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $69.18 Typical High $93.33 | Professional | 53 · Discontinued | $67.61 | $69.18 | $93.33 |
Where Missouri sits
The same service costs 3.8 times more in Texas than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Missouri· 33rd of 51
$389
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.